Browne Leadership Fellows Program
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The Browne Leadership Fellows Program is geared to provide opportunities for the undergraduate who combines academic talent,
leadership skills and a commitment to social change.
Through a spring and 2 summer semester stipend, the Browne Leadership Fellows will have an opportunity for civic and
community engagement to work on a solution to a social problem.
Through monthly seminars in the Spring, Fellows will be engaged with leaders and in discussion about social issues and solutions.
During the summer months, seminars will be scheduled where Fellows discuss their ongoing work.
FIRST NAME
PEOPLESOFT
NUMBER
LAST NAME
PERMANENT
ADDRESS
CITY / STATE /
ZIP
LOCAL
ADDRESS
CITY / STATE /
ZIP
CELL PHONE
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-
LOCAL PHONE
-
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PITT E-MAIL
ADDRESS
AREA OF
STUDY
FACULTY ADVISOR
EXPECTED
TERM OF
GPA
GRADUATION
PHONE NUMBER
DEPARTMENT
Please provide the following information:
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Submit resume and cover letter describing positions you have held, both paid and unpaid. Include all experiences as
a team member and a team leader.
An up-to-date copy of your transcript. (an unofficial transcript is acceptable)
A brief written commentary indicating why you are interested in participating in the Browne Leadership Fellows
A brief written statement from your faculty advisor indicating support for the application.
Sign here ________________________________ to indicate that you will obtain University of Pittsburgh IRB
approval if your summer internship research extends to protected populations.
Sign here__________________________to indicate that you will obtain Act 33/34 and FBI Clearance before the
beginning of the Summer semester. This cost will be covered/reimbursed by the Browne Leadership Fellows
Program.
You must sign here_____________ to indicate that you understand that you will attend EACH monthly seminars
in the Spring semester and that you will attend all required Summer meetings. By signing here you also indicate that
you understand the requirements of the Browne Leadership Fellows Program and agree to enroll in the one-credit
Spring term course.
The culmination of the Browne Leadership Fellows Program is a formal community and University presentation.
Return this sheet along with your other materials to: Program Coordinator Keith Caldwell kjc45@pitt.edu
Application Schedule
Friday, October 17 – Application and materials due and reviewed
October 20 - October 31 – Interviews scheduled
November 3 – Notifications mailed